生命早期的呼吸道合胞病毒感染会调节先天性免疫反应,优先增强雌性动物中过敏原诱导的2型肺部炎症。
Early-life RSV infection modulates innate immune events, preferentially enhancing allergen-induced type 2 lung inflammation in females.
作者信息
Labrie Lydia, McVea Rojine C, Karkout Rami, Aldossary Haya, Gaudreault Véronique, Ward Brian J, Fixman Elizabeth D
机构信息
Meakins-Christie Laboratories, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.
Research Institute of the McGill University Health Centre, Montréal, Québec, Canada.
出版信息
PLoS Pathog. 2025 Jul 21;21(7):e1013340. doi: 10.1371/journal.ppat.1013340. eCollection 2025 Jul.
Respiratory syncytial virus (RSV) causes millions of hospitalizations and thousands of deaths per year globally. Early-life RSV infection is also associated with the subsequent development of wheezing and asthma, which exhibits sex-related disparities in incidence, epidemiology, and morbidity. The mechanisms that underlie these sex-specific effects are not clear. We have developed a combined infection-allergy model in which 10-day old mice are infected with RSV and subsequently exposed to a common allergen, house dust mite (HDM). We show that early-life exposure to RSV enhanced allergic lung inflammation upon HDM exposure 10 days after viral infection. Early-life RSV infection increased levels of the innate cytokine, IL-33, in the lung 6h following HDM exposure. Accumulation of CD11cmed eosinophils and group 2 innate lymphoid cells was more prominent in the lungs of female mice exposed to both RSV and HDM. Moreover, the numbers of IL-13+ T cells (both CD4+ and CD8+) in the lung were significantly increased in mice exposed to both RSV infection and HDM, although the expression of ST2 (the cognate receptor for IL-33) was not linked to T cell cytokine production. Inflammatory responses were maintained when the interval between RSV infection and HDM exposure was extended to one month. Thus, our results show that early exposure to RSV increased numbers of innate cells as well as T cells in response to a common allergen, whether delivered within days or after several weeks of viral infection and that most responses were enhanced in female mice. Our work highlights sex-specific impact of early-life viral infection on the developing lung, and suggests possible mechanisms to explain the subsequent predisposition to enhanced allergic responses long after viral clearance.
呼吸道合胞病毒(RSV)每年在全球导致数百万例住院病例和数千人死亡。生命早期的RSV感染还与随后的喘息和哮喘发展有关,喘息和哮喘在发病率、流行病学和发病情况方面存在性别差异。这些性别特异性影响的潜在机制尚不清楚。我们建立了一种联合感染-过敏模型,其中10日龄小鼠感染RSV,随后暴露于常见过敏原屋尘螨(HDM)。我们发现,生命早期暴露于RSV会在病毒感染10天后暴露于HDM时增强过敏性肺部炎症。生命早期的RSV感染在暴露于HDM后6小时增加了肺中固有细胞因子IL-33的水平。在同时暴露于RSV和HDM的雌性小鼠肺中,CD11c中等嗜酸性粒细胞和2型固有淋巴细胞的积累更为明显。此外,在同时暴露于RSV感染和HDM的小鼠中,肺中IL-13+T细胞(CD4+和CD8+)的数量显著增加,尽管ST2(IL-33的同源受体)的表达与T细胞细胞因子产生无关。当RSV感染和HDM暴露之间的间隔延长至1个月时,炎症反应得以维持。因此,我们的结果表明,生命早期暴露于RSV会增加固有细胞以及T细胞对常见过敏原的反应数量,无论过敏原是在病毒感染后数天内还是数周后给予,并且大多数反应在雌性小鼠中增强。我们的工作突出了生命早期病毒感染对发育中肺部的性别特异性影响,并提出了可能的机制来解释病毒清除后很长时间内随后增强的过敏反应易感性。